Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 17 days before observation
Type 2 organization · NPI 1013835222
AEGIS GROUP PRACTICE LLC
225100000X · MIDDLETON, WI
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 225100000X | 225100000X | Primary |
| 225X00000X | 225X00000X | Additional |
| 235Z00000X | 235Z00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s